31.   It is understood many of the wet markets are in serious need of an upgrading because of their poor hygiene.

32.   It is thought poor hygiene at the hospital may have helped spread the disease.

33.   It urged the government to close legal loopholes that allow restaurants with poor hygiene standards to operate.

34.   Many of the millions of people flooded out are camped in makeshift shelters atop dikes where exposure and poor hygiene are taking a toll.

35.   Most were infected by contaminated blood or poor medical hygiene.

36.   S.C. Sharma, a wildlife expert, said crowding at the zoo could have resulted in poor hygiene, which spread the infection.

37.   The disease is less prevalent among groups with poor hygiene than among those where washing is frequent.

38.   The officials said that two of three previous outbreaks had originated in hospitals where there was very poor hygiene.

39.   The outbreak of viral meningitis is caused by poor hygiene and is most prevalent where water supplies were cut by local authorities due to unpaid bills.

40.   The reasons for this are inadequate maternity care, poor hygiene and inappropriate management of delivery.